A mother presents to your clinic with persistent pain for 2 months. She has been treated for yeast twice with no relief

A mother presents to your clinic with persistent pain for 2 months. She has been treated for yeast twice with no relief. She reports pain in the breasts during and after feeding, in addition to extreme sensitivity to touch (of the nipples). She has no visible trauma to her nipples. She reports her nipples turn red after feeding but she reports no whiteness or blueness. She has tried heat with some success. She wants to quit breastfeeding if she gets no relief immediately. What is your most appropriate first step? a. Assure her that your intervention will give immediate relief b. Counsel her that her commitment to breastfeeding is admirable and that you will work hard to lessen her suffering. Her commitment is the most important aspect of her treatment. c. Tell her that she has yeast and that her doctors have prescribed the medications wrong. d. Tell her that she has functional pain and that she needs a prescription for Cymbalta from her doctor.Please choose the treatment(s) that may work to relieve afferent pain syndrome. a. Meditation and mindfulness exercises b. Propranolol c. Ibuprofen d. All of the above

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